MII IG Kerndatensatz-Modul Lungenfunktion - Downloaded Version 2027.0.0-ballot.1 See the Directory of published versions

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Resource Profile: MII PR Lungenfunktion BF

The profile describes a observation for the breathing frequency.

Usages:

• Refer to this Profile: MII PR Lungenfunktion Bodyplethysmographie and MII PR Lungenfunktion Spirometrie
• Examples for this Profile: Observation/mii-exa-lungenfunktion-bf
• CapabilityStatements using this Profile: MII CPS Lungenfunktion CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	VitalSignDE_Atemfrequenz	Measurements and simple assertions Constraints: obs-7, obs-6, vs-de-2
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
partOf	SΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Teil von Constraints: ref-1
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:loinc	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 9279-1
display	SΣ	0..1	string	Representation defined by the system
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: VitalSignDE_Atemfrequenz_SNOMED_CT (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 271625008
display	SΣ	0..1	string	Representation defined by the system Fixed Value: Rate of spontaneous respiration (observable entity)
subject	SΣC	1..1	Reference(Patient)	Person Constraints: ref-1
effective[x]	ΣC	1..1		Clinically relevant time/time-period for observation Constraints: vs-de-1
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	Dokumentationsdatum
Slices for value[x]	SΣC	0..1	Quantity	Messwert Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	ΣC	0..1	Quantity	Actual result Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Binding: UCUM Vitals Common DE (required) Fixed Value: /min
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Interpretation Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
method	S	0..1	CodeableConcept	Methode Binding: ObservationMethods (example): Methods for simple observations.
referenceRange	SC	0..*	BackboneElement	Referenzintervall Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	1..1	SimpleQuantity	LLN Constraints: qty-3, sqty-1
high	SC	1..1	SimpleQuantity	ULN Constraints: qty-3, sqty-1
hasMember	SΣC	0..*	Reference(Observation)	weitere Beobachtungen Constraints: ref-1
derivedFrom	SΣC	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	abgeleitet Constraints: ref-1
Slices for component	SΣC	0..*	BackboneElement	Bestandteile Slice: Unordered, Open by pattern:$this Constraints: vs-de-3
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	1..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:predicted	SΣC	0..1	BackboneElement	Vorhersage Constraints: vs-de-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	SΣ	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation Required Pattern: L
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: L
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:percentPredicted	SΣC	0..1	BackboneElement	Verhältnis Constraints: vs-de-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	SΣ	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation Required Pattern: %
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: %
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:VSCat	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.code.coding:snomed	Base	required	VitalSignDE_Atemfrequenz_SNOMED_CT	📦1.6.0	de.basisprofil.r4 v1.6
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​code	Base	required	UCUM Vitals Common DE	📦1.6.0	de.basisprofil.r4 v1.6
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📦4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:predicted.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:predicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:predicted.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:percentPredicted.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.referenceRange.low, Observation.referenceRange.high	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
ref-1	error	Observation.partOf, Observation.subject, Observation.hasMember, Observation.derivedFrom	SHALL have a contained resource if a local reference is provided	reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
vs-de-1	error	Observation.effective[x]	If Observation.effective[x] has a value then that value shall be precise to the day	(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
vs-de-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-de-3	error	Observation.component, Observation.component:predicted, Observation.component:percentPredicted	If there is no a value a data absent reason must be present	value.exists() xor dataAbsentReason.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	VitalSignDE_Atemfrequenz	Measurements and simple assertions
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
source	S	0..1	uri	Identifies where the resource comes from
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
partOf	S	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Teil von
status	S	1..1	code	Status
category	S	1..*	CodeableConcept	Kategorie
code	S	1..1	CodeableConcept	Code
coding		1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:loinc		1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
coding:snomed		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: 271625008
display	S	0..1	string	Representation defined by the system Fixed Value: Rate of spontaneous respiration (observable entity)
subject	S	1..1	Reference(Patient)	Person
issued	S	0..1	instant	Dokumentationsdatum
value[x]	S	0..1	Quantity	Messwert
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	Actual result
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
interpretation	S	0..*	CodeableConcept	Interpretation
method	S	0..1	CodeableConcept	Methode
referenceRange	S	0..*	BackboneElement	Referenzintervall
low	S	1..1	SimpleQuantity	LLN
high	S	1..1	SimpleQuantity	ULN
hasMember	S	0..*	Reference(Observation)	weitere Beobachtungen
derivedFrom	S	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	abgeleitet
Slices for component	S	0..*	BackboneElement	Bestandteile Slice: Unordered, Open by pattern:$this
component:predicted	S	0..1	BackboneElement	Vorhersage
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	S	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	S	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation Required Pattern: L
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit Required Pattern: L
component:percentPredicted	S	0..1	BackboneElement	Verhältnis
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	S	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	S	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation Required Pattern: %
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit Required Pattern: %
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.component:predicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	VitalSignDE_Atemfrequenz	Measurements and simple assertions Constraints: obs-7, obs-6, vs-de-2
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	ΣC	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Constraints: ref-1
partOf	SΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Teil von Constraints: ref-1
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:loinc	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 9279-1
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: VitalSignDE_Atemfrequenz_SNOMED_CT (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 271625008
display	SΣ	0..1	string	Representation defined by the system Fixed Value: Rate of spontaneous respiration (observable entity)
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient)	Person Constraints: ref-1
focus	ΣC	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record Constraints: ref-1
encounter	ΣC	0..1	Reference(Encounter)	Healthcare event during which this observation is made Constraints: ref-1
effective[x]	ΣC	1..1		Clinically relevant time/time-period for observation Constraints: vs-de-1
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	Dokumentationsdatum
performer	ΣC	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Constraints: ref-1
Slices for value[x]	SΣC	0..1	Quantity	Messwert Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	ΣC	0..1	Quantity	Actual result Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Binding: UCUM Vitals Common DE (required) Fixed Value: /min
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Interpretation Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	Methode Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen)	Specimen used for this observation Constraints: ref-1
device	C	0..1	Reference(Device | DeviceMetric)	(Measurement) Device Constraints: ref-1
referenceRange	SC	0..*	BackboneElement	Referenzintervall Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	1..1	SimpleQuantity	LLN Constraints: qty-3, sqty-1
high	SC	1..1	SimpleQuantity	ULN Constraints: qty-3, sqty-1
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age	C	0..1	Range	Applicable age range, if relevant Constraints: rng-2
text		0..1	string	Text based reference range in an observation
hasMember	SΣC	0..*	Reference(Observation)	weitere Beobachtungen Constraints: ref-1
derivedFrom	SΣC	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	abgeleitet Constraints: ref-1
Slices for component	SΣC	0..*	BackboneElement	Bestandteile Slice: Unordered, Open by pattern:$this Constraints: vs-de-3
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	1..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:predicted	SΣC	0..1	BackboneElement	Vorhersage Constraints: vs-de-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	SΣ	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
text	Σ	0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation Required Pattern: L
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: L
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:percentPredicted	SΣC	0..1	BackboneElement	Verhältnis Constraints: vs-de-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	SΣ	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
text	Σ	0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation Required Pattern: %
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: %
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:VSCat	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.code.coding:snomed	Base	required	VitalSignDE_Atemfrequenz_SNOMED_CT	📦1.6.0	de.basisprofil.r4 v1.6
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​code	Base	required	UCUM Vitals Common DE	📦1.6.0	de.basisprofil.r4 v1.6
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📦4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📦4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:predicted.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:predicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:predicted.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:predicted.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:percentPredicted.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.referenceRange.low, Observation.referenceRange.high	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
ref-1	error	Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom	SHALL have a contained resource if a local reference is provided	reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
rng-2	error	Observation.referenceRange.age	If present, low SHALL have a lower value than high	low.empty() or high.empty() or (low <= high)
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
vs-de-1	error	Observation.effective[x]	If Observation.effective[x] has a value then that value shall be precise to the day	(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
vs-de-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-de-3	error	Observation.component, Observation.component:predicted, Observation.component:percentPredicted	If there is no a value a data absent reason must be present	value.exists() xor dataAbsentReason.exists()

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 46 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component
• The element 1 is sliced based on the value of Observation.component.code.coding

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	VitalSignDE_Atemfrequenz	Measurements and simple assertions Constraints: obs-7, obs-6, vs-de-2
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
partOf	SΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Teil von Constraints: ref-1
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:loinc	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 9279-1
display	SΣ	0..1	string	Representation defined by the system
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: VitalSignDE_Atemfrequenz_SNOMED_CT (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 271625008
display	SΣ	0..1	string	Representation defined by the system Fixed Value: Rate of spontaneous respiration (observable entity)
subject	SΣC	1..1	Reference(Patient)	Person Constraints: ref-1
effective[x]	ΣC	1..1		Clinically relevant time/time-period for observation Constraints: vs-de-1
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	Dokumentationsdatum
Slices for value[x]	SΣC	0..1	Quantity	Messwert Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	ΣC	0..1	Quantity	Actual result Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Binding: UCUM Vitals Common DE (required) Fixed Value: /min
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Interpretation Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
method	S	0..1	CodeableConcept	Methode Binding: ObservationMethods (example): Methods for simple observations.
referenceRange	SC	0..*	BackboneElement	Referenzintervall Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	1..1	SimpleQuantity	LLN Constraints: qty-3, sqty-1
high	SC	1..1	SimpleQuantity	ULN Constraints: qty-3, sqty-1
hasMember	SΣC	0..*	Reference(Observation)	weitere Beobachtungen Constraints: ref-1
derivedFrom	SΣC	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	abgeleitet Constraints: ref-1
Slices for component	SΣC	0..*	BackboneElement	Bestandteile Slice: Unordered, Open by pattern:$this Constraints: vs-de-3
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	1..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:predicted	SΣC	0..1	BackboneElement	Vorhersage Constraints: vs-de-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	SΣ	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation Required Pattern: L
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: L
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:percentPredicted	SΣC	0..1	BackboneElement	Verhältnis Constraints: vs-de-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	SΣ	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation Required Pattern: %
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: %
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:VSCat	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.code.coding:snomed	Base	required	VitalSignDE_Atemfrequenz_SNOMED_CT	📦1.6.0	de.basisprofil.r4 v1.6
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​code	Base	required	UCUM Vitals Common DE	📦1.6.0	de.basisprofil.r4 v1.6
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📦4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:predicted.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:predicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:predicted.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:percentPredicted.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.referenceRange.low, Observation.referenceRange.high	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
ref-1	error	Observation.partOf, Observation.subject, Observation.hasMember, Observation.derivedFrom	SHALL have a contained resource if a local reference is provided	reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
vs-de-1	error	Observation.effective[x]	If Observation.effective[x] has a value then that value shall be precise to the day	(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
vs-de-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-de-3	error	Observation.component, Observation.component:predicted, Observation.component:percentPredicted	If there is no a value a data absent reason must be present	value.exists() xor dataAbsentReason.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	VitalSignDE_Atemfrequenz	Measurements and simple assertions
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
source	S	0..1	uri	Identifies where the resource comes from
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
partOf	S	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Teil von
status	S	1..1	code	Status
category	S	1..*	CodeableConcept	Kategorie
code	S	1..1	CodeableConcept	Code
coding		1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:loinc		1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
coding:snomed		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
version		1..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: 271625008
display	S	0..1	string	Representation defined by the system Fixed Value: Rate of spontaneous respiration (observable entity)
subject	S	1..1	Reference(Patient)	Person
issued	S	0..1	instant	Dokumentationsdatum
value[x]	S	0..1	Quantity	Messwert
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	Actual result
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
interpretation	S	0..*	CodeableConcept	Interpretation
method	S	0..1	CodeableConcept	Methode
referenceRange	S	0..*	BackboneElement	Referenzintervall
low	S	1..1	SimpleQuantity	LLN
high	S	1..1	SimpleQuantity	ULN
hasMember	S	0..*	Reference(Observation)	weitere Beobachtungen
derivedFrom	S	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	abgeleitet
Slices for component	S	0..*	BackboneElement	Bestandteile Slice: Unordered, Open by pattern:$this
component:predicted	S	0..1	BackboneElement	Vorhersage
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	S	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	S	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation Required Pattern: L
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit Required Pattern: L
component:percentPredicted	S	0..1	BackboneElement	Verhältnis
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	S	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	S	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation Required Pattern: %
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit Required Pattern: %
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.component:predicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	VitalSignDE_Atemfrequenz	Measurements and simple assertions Constraints: obs-7, obs-6, vs-de-2
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	ΣC	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Constraints: ref-1
partOf	SΣC	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Teil von Constraints: ref-1
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat		1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:loinc	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 9279-1
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:snomed	Σ	0..*	Coding	Code defined by a terminology system Binding: VitalSignDE_Atemfrequenz_SNOMED_CT (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 271625008
display	SΣ	0..1	string	Representation defined by the system Fixed Value: Rate of spontaneous respiration (observable entity)
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient)	Person Constraints: ref-1
focus	ΣC	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record Constraints: ref-1
encounter	ΣC	0..1	Reference(Encounter)	Healthcare event during which this observation is made Constraints: ref-1
effective[x]	ΣC	1..1		Clinically relevant time/time-period for observation Constraints: vs-de-1
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	Dokumentationsdatum
performer	ΣC	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Constraints: ref-1
Slices for value[x]	SΣC	0..1	Quantity	Messwert Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	ΣC	0..1	Quantity	Actual result Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Binding: UCUM Vitals Common DE (required) Fixed Value: /min
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Interpretation Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	Methode Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen)	Specimen used for this observation Constraints: ref-1
device	C	0..1	Reference(Device | DeviceMetric)	(Measurement) Device Constraints: ref-1
referenceRange	SC	0..*	BackboneElement	Referenzintervall Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	1..1	SimpleQuantity	LLN Constraints: qty-3, sqty-1
high	SC	1..1	SimpleQuantity	ULN Constraints: qty-3, sqty-1
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age	C	0..1	Range	Applicable age range, if relevant Constraints: rng-2
text		0..1	string	Text based reference range in an observation
hasMember	SΣC	0..*	Reference(Observation)	weitere Beobachtungen Constraints: ref-1
derivedFrom	SΣC	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	abgeleitet Constraints: ref-1
Slices for component	SΣC	0..*	BackboneElement	Bestandteile Slice: Unordered, Open by pattern:$this Constraints: vs-de-3
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	1..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:predicted	SΣC	0..1	BackboneElement	Vorhersage Constraints: vs-de-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	SΣ	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
text	Σ	0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation Required Pattern: L
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: L
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:percentPredicted	SΣC	0..1	BackboneElement	Verhältnis Constraints: vs-de-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
Slices for coding				Content/Rules for all slices
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Lufu SCT Observable (required)
coding:loinc	SΣ	0..1	Coding	LOINC Code Binding: MII VS Lufu LNC Observable (required)
text	Σ	0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation Required Pattern: %
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: %
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.category:VSCat	Base	preferred	Observation Category Codes	📦4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.code.coding:snomed	Base	required	VitalSignDE_Atemfrequenz_SNOMED_CT	📦1.6.0	de.basisprofil.r4 v1.6
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​code	Base	required	UCUM Vitals Common DE	📦1.6.0	de.basisprofil.r4 v1.6
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📦4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📦4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📦4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:predicted.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:predicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:predicted.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:predicted.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:predicted.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​code	Base	example	LOINC Codes	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​code.coding:sct	Base	required	MII VS Lufu SCT Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​code.coding:loinc	Base	required	MII VS Lufu LNC Observable	📦2027.0.0-ballot.1	This IG
Observation.component:percentPredicted.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:percentPredicted.​dataAbsentReason	Base	extensible	DataAbsentReason	📦4.0.1	FHIR Std.
Observation.component:percentPredicted.​interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3	error	Observation.referenceRange.low, Observation.referenceRange.high	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
ref-1	error	Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom	SHALL have a contained resource if a local reference is provided	reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
rng-2	error	Observation.referenceRange.age	If present, low SHALL have a lower value than high	low.empty() or high.empty() or (low <= high)
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
vs-de-1	error	Observation.effective[x]	If Observation.effective[x] has a value then that value shall be precise to the day	(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
vs-de-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-de-3	error	Observation.component, Observation.component:predicted, Observation.component:percentPredicted	If there is no a value a data absent reason must be present	value.exists() xor dataAbsentReason.exists()

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 46 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component
• The element 1 is sliced based on the value of Observation.component.code.coding